Tahir Yaqub MD INC
NPI #1952615395 in Atwater, California
Provider Information
- NPI Number
- 1952615395
- Entity Type
- Organization
- Organization Name
- Tahir Yaqub MD INC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jul 27, 2010
- Last Updated
- Jul 15, 2020
Practice Location
- Address
- 1775 3RD STREET
- Address 2
- OPTIONAL
- City
- Atwater
- State
- California
- ZIP Code
- 95301-3608
- Phone
- (209) 358-5611
Authorized Official
- Name
- TAHIR YAQUB, MD
- Title
- PROVIDER
- Phone
- (209) 388-1371
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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